EXCLUSIVE: The Wide-Ranging Effects of 2021, 2023 E&M Code Changes
ICD10monitor January 10, 2024
In 2021, the Centers for Medicare & Medicaid Services (CMS) released a completely revamped version of the evaluation and management (E&M) codes, primarily for the office visit codes (99201-99205 and 99211-99215). This update represented the most comprehensive revision since the 1997 guidelines were released.
While the changes were limited to those office visit codes, they set the stage for the significant changes now seen in the 2023 guidelines. According to CMS, the purpose was “to update coding and payment for E&M visits so that they better reflect the current practice of medicine, are less administratively complex, and are paid more accurately,” adding that “this work is critical to help reduce practitioner burnout out in general, especially in light of the...